The Tabor Therapy Group, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE TABOR THERAPY GROUP, INC

Practice address

12151 Regency Pkwy Ste 12169
Huntley, IL 60142-7644

Phone

(815) 331-8768

NPI assigned

Apr 10, 2020

Organization subpart

Yes

Parent organization

THE TABOR THERAPY GROUP, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Ann Tabor

Title

Owner

Phone

(815) 331-8768

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Tabor Therapy Group Inc5 organizations share this tax ID, including this one

Part of

The Tabor Therapy Group Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Tabor Therapy Group, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Huntley, IL
  • NPI 1619596541
  NPD tax ID
• The Tabor Therapy Group, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • McHenry, IL
  • NPI 1194360164
  NPD tax ID
• The Tabor Therapy Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McHenry, IL
  • NPI 1457841660
  NPD tax ID
• The Tabor Therapy Group, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • McHenry, IL
  • NPI 1740825710
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1003435934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE H",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-331-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 REGENCY PKWY STE 12169",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427644",
            "telephone_number": "815-331-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5404 W Elm St Ste H",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600504007",
            "country_code": "US",
            "telephone_number": "815-331-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE TABOR THERAPY GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TABOR THERAPY GROUP, INC",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-331-8768"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B17-IPI-002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Jabines Taparra, APRN, FNP-BC
• Aleksander Tartakovsky, DO
• Jennifer Mary Taylor, P.T.
• Jennifer Territo, LPN, IBCLC
• The Audh Social Worker, PLLC
• The Tabor Therapy Group, Inc
• Therapeutic Building Blocks PC
• Heather Shannon Thompson, LMT
• Sebastian Tobon, M.D.
• Laura Haley Tommaso, M.D.

• Adult Mental Health Clinic/Center in Huntley, IL
• Providers in Huntley, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.